Inspection·March 20, 2025

F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm Based on observations, clinical record reviews, and staff interviews, it was determined the facility failed to ensure Enhanced Barrier Precautionswere in place for residents requiring enhanced barrier precautions for two of three residents reviewed (Resident 2, and Resident 3). Residents Affected - Few Findings include: Review of the facility's policy titled Enhanced Barrier Precautions dated April 1, 2024, documents it is the policy of the facility to follow state and federal guidelines to minimize the spread of Multidrug Resistant Organisms (MDROs) by implementing effective Personal Protective Equipment (PPE) usage. Enhanced Barrier Precautions (EBP) are an infection control intervention designed to reduce transmission of resistant organism that employs targeted gown and glove use during high contact resident care activities. EBP are indicated for residents with any of the following: *Wounds or indwelling medical devices, regardless of MDRO colonization status. *Infection or colonization with an MDRO when contact precautions do not otherwise apply. Per facility policy effective implementation of EBP requires staff training on the proper use of personal protective equipment (PPE) and the availability of PPE and hand hygiene supplies at the point of care. Clinical records review revealed Resident 2 had an unstageable (full thickness) sacrum (Bone at the base of the spine) pressure ulcer. Observation conducted of Resident 2's room failed to reveal evidence of EBP signage/communication. Clinical records review revealed Resident 3 had an unstageable (full thickness) sacrum pressure ulcer. Further clinical records review revealed Resident 3 has a percutaneous endoscopic gastrostomy (PEG) (a tube used to receive nutrition through the stomach). Observation conducted of Resident 3's room failed to reveal evidence of EBP signage/communication. (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 395284 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 395284 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/20/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Phoenix Center for Rehabilitation and Nursing,the 833 South Main Street Phoenixville, PA 19460 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)